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本文对３２例无心脏炎及其它主要表现的风湿性关节炎患儿进行了临床分析及长期随访，发现急性风湿热中关节受累者仍多见（占７３％），表现不典型者增多（１６％），认为不典型风湿性关节炎是不典型风湿热的主要表现类型，诊断时对不典型的关节表现应视为重要线索，无症状心前区杂音有变化也具有诊断价值随访发现其复发率低，但仍有发展为心脏瓣膜病者，治疗中定期应用抗生素至少５年以控制复发是必要的．
In this paper, 32 cases of children with rheumatoid arthritis without cardiotomy and other major manifestations were analyzed and followed up for a long time. It was found that there were still more cases of arthritis (73%) and atypical cases (16%) in patients with rheumatoid arthritis %), That atypical rheumatoid arthritis is the main type of atypical rheumatic fever, atypical articular manifestations should be considered as an important clue at diagnosis, asymptomatic precordial murmur has a change in the diagnosis of follow-up found its recurrence Low rates, but there are still patients with valvular heart disease, the treatment of regular antibiotics for at least 5 years to control recurrence is necessary.